Amendment to Contract Between Arizona Health Care Cost Containment System and Health Choice Arizona (Effective 10/1/2000)

Summary

This amendment extends the contract between the Arizona Health Care Cost Containment System Administration and Health Choice Arizona for one year, from October 1, 2000, to September 30, 2001. It also updates several sections and attachments of the contract with new or revised requirements. Health Choice Arizona must confirm acceptance of the extension by September 15, 2000. All other terms of the original contract remain unchanged unless specifically amended here.

EX-10.1 2 g66774ex10-1.txt AMENDMENT TO CONTRACT EFFECTIVE 10/1/00 1 EXHIBIT 10.1 ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION DIVISION OF BUSINESS AND FINANCE CONTRACT AMENDMENT - -------------------------------------------------------------------------------- AMENDMENT NUMBER: CONTRACT NUMBER: EFFECTIVE DATE OF AMENDMENT: PROGRAM: 12 YH8-0001-05 OCTOBER 1, 2000 OMC - -------------------------------------------------------------------------------- CONTRACTOR'S NAME AND ADDRESS: HEALTH CHOICE ARIZONA 1600 WEST BROADWAY SUITE 260 TEMPE, AZ ###-###-#### - -------------------------------------------------------------------------------- PURPOSE OF AMENDMENT. To extend the term of the contract for one year and to incorporate changes to contract requirements. - -------------------------------------------------------------------------------- THE CONTRACT REFERENCED ABOVE IS AMENDED AS FOLLOWS: A. EXTENSION OF CONTRACT: In accordance with Section D, Paragraph 50, Term of Contract and Option to Renew, this contract is extended for the period 10/01/00 - 09/30/01. The Contractor's response affirming or declining the extension must be received by AHCCCSA no later the 3 PM, SEPTEMBER 15, 2000. B. CONTRACT RESTATEMENT: this amendment consists of a complete restatement of Sections B, C, D, E and Attachments A, F, H and I with new or changed requirements. C. By signing this contract amendment, the Contractor is (1) agreeing to perform for an additional year according to the terms of the contract as amended, and (2) agreeing to the new and changed requirements contained herein. NOTE: Please sign and date both and then return one to: Michael Veit, MD 5700 AHCCCS Contracts and Purchasing 701 East Jefferson Street Phoenix, Arizona 85034 - -------------------------------------------------------------------------------- EXCEPT AS PROVIDED FOR HEREIN, ALL TERMS AND CONDITIONS OF THE ORIGINAL CONTRACT NOT HERETOFORE CHANGED AND/OR AMENDED REMAIN UNCHANGED AND IN FULL EFFECT. IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT - -------------------------------------------------------------------------------- SIGNATURE OF AUTHORIZED REPRESENTATIVE: SIGNATURE OF AHCCCSA CONTRACTING OFFICER: /s/ Carolyn Rose /s/ Michael Veit - -------------------------------------------------------------------------------- TYPED NAME: TYPED NAME: Carolyn Rose Michael Veit - -------------------------------------------------------------------------------- TITLE: TITLE: Interim Chief Executive Officer CONTRACTS AND PURCHASING ADMINISTRATOR DATE: DATE: - -------------------------------------------------------------------------------- 9/6/00 October 1, 2000 - -------------------------------------------------------------------------------- Acute Care Renewal (CYE 01) Revised 10/01/00 1